Kali Taylor, MD in Peoria, IL - Medicare Pediatrics

Kali Taylor, MD is a medicare enrolled "Pediatrics" physician in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-6384.

Kali Taylor is licensed to practice in Illinois (license number 125069593) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295186963.

Contact Information

	Kali Taylor, MD
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-6384
	(309) 655-7732

Map and Direction

Physician's Profile

Full Name	Kali Taylor
Gender	Female
Speciality	Pediatrics
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295186963
Provider Enumeration Date: 06/23/2016
Last Update Date: 06/06/2019

Medicare PECOS Information:

PECOS PAC ID: 9739475575
Enrollment ID: I20220103000559

Medical Identifiers

Medical identifiers for Kali Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295186963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	125069593 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kali Taylor allows following entities to bill medicare on her behalf.

Entity Name	South Louisiana Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kali Taylor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kali Taylor, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2730	Kali Taylor, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-6384

Reviews and Comments

Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615 Phone: 309-692-1030 Fax: 309-691-3241
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615
Dr. Patrick Joseph Rizzuto Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-671-3000

Kali Taylor, MD - Medicare Pediatrics in Peoria, IL